Organization
LUNA COMMUNITY COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE VALERIE LUNA LISW (DIRECTOR AREA HEALTH EDUCATION CTR.)
(505) 454-2585
Entity
Organization
Contact information
Practice address
366 LUNA DR, LAS VEGAS, NM 87701-9838
(505) 454-2585
(505) 454-5326
Mailing address
366 LUNA DR, LAS VEGAS, NM 87701-9838
(505) 454-2585
(505) 454-5326
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
I-0458
NM
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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